ACEP 2014 EM Report Card: AMERICA’S EMERGENCY
CARE ENVIRONMENT
About ACEP
The American College of Emergency Physicians (ACEP), founded in 1968, is the oldest and largest national medical specialty organization representing physicians who practice emergency medicine. With more than 32,000 members, ACEP continually monitors trends in the health care environment and analyzes issues affecting emergency physicians and their patients
Dave Mainwaring's Knowledge Network. Includes a more inclusive newsbasket: Mainzone Knowledge Network http://mainzoneknowledgenetwork.blogspot.com/
A newsbasket is on-line Internet publication containing comprehensive aggregated collections of information.
Alzheimer's/Dementia Hospitalization Wristband Project
Alzheimer's/Dementia Hospitalization Wristband: The wristband project does several things:
Upon admission, patients with a prior diagnosis have a Purple Angel affixed to their standard issue hospital wristband for identification purposes.
Purple Angel is placed on their door so that anyone entering knows they should approach with the patient’s special needs in mind.
Upon admission, patients with a prior diagnosis have a Purple Angel affixed to their standard issue hospital wristband for identification purposes.
Purple Angel is placed on their door so that anyone entering knows they should approach with the patient’s special needs in mind.
- Use of “sitters” will become standard practice, allowing families to take much needed breaks without worrying that their loved one will be left alone.
- A dementia screening will be added to the admission process in hopes of identifying cognitive impairment even if there is no prior diagnosis.
▶ The Difference Between EMR & EHR - YouTube
▶ The Difference Between EMR & EHR - YouTube
Quick Illustrated Video Differentiating EHR from EMR
shared by Matthew Smith on Wed, Jan 15, 2014 @ 01:28 PM
previous post on the differences between EMR (Electronic Medical Records) and EHR (Electronic Health Records) really resonated with our readers.
Thank you to several HD Insights blog readers for sending along this concise, illustrated video detailing the differences between an EMR and an EHR. We felt that this video is too good not to share with everyone.
Matthew Smith says Feel free to forward this post (and our previous post) as a simple explanation when someone in your department asks what the difference is between these two terms.
Quick Illustrated Video Differentiating EHR from EMR
shared by Matthew Smith on Wed, Jan 15, 2014 @ 01:28 PM
previous post on the differences between EMR (Electronic Medical Records) and EHR (Electronic Health Records) really resonated with our readers.
Thank you to several HD Insights blog readers for sending along this concise, illustrated video detailing the differences between an EMR and an EHR. We felt that this video is too good not to share with everyone.
Matthew Smith says Feel free to forward this post (and our previous post) as a simple explanation when someone in your department asks what the difference is between these two terms.
EMR vs. EHR – What is the Difference?
EMR vs. EHR – What is the Difference?: EMR vs. EHR – What is the Difference?
Posted by Matthew Smith on Tue, Jan 14, 2014 @ 12:21 PM
What’s in a word? Or, even one letter of an acronym?
Some people use the terms “electronic medical record” and “electronic health record” (or “EMR” and “EHR”) interchangeably. But at the Office of the National Coordinator for Health Information Technology (ONC), you’ll notice they use electronic health record or EHR almost exclusively. While it may seem a little picky at first, the difference between the two terms is actually quite significant.The EMR term came along first, and indeed, early EMRs were “medical.” They were for use by clinicians mostly for diagnosis and treatment.
In contrast, “health” relates to “The condition of being sound in body, mind, or spirit; especially…freedom from physical disease or pain…the general condition of the body.” The word “health” covers a lot more territory than the word “medical.” And EHRs go a lot further than EMRs.
Posted by Matthew Smith on Tue, Jan 14, 2014 @ 12:21 PM
What’s in a word? Or, even one letter of an acronym?
Some people use the terms “electronic medical record” and “electronic health record” (or “EMR” and “EHR”) interchangeably. But at the Office of the National Coordinator for Health Information Technology (ONC), you’ll notice they use electronic health record or EHR almost exclusively. While it may seem a little picky at first, the difference between the two terms is actually quite significant.The EMR term came along first, and indeed, early EMRs were “medical.” They were for use by clinicians mostly for diagnosis and treatment.
In contrast, “health” relates to “The condition of being sound in body, mind, or spirit; especially…freedom from physical disease or pain…the general condition of the body.” The word “health” covers a lot more territory than the word “medical.” And EHRs go a lot further than EMRs.
50 Best Senior Caregiving Tools Online | Minute Women Inc Home Care | Non-Medical Senior Care – Minute Women Inc
50 Best Senior Caregiving Tools Online | Minute Women Inc Home Care | Non-Medical Senior Care – Minute Women Inc: 50 Best Senior Caregiving Tools Online
50 Best Senior Caregiving Tools Online
It can be very frustrating when trying to find caregiving tools on the internet. You know what you need is out there but can spend hours finding the right tool.
list of the best caregiving tools that we could find on the internet.
50 Best Senior Caregiving Tools Online
It can be very frustrating when trying to find caregiving tools on the internet. You know what you need is out there but can spend hours finding the right tool.
list of the best caregiving tools that we could find on the internet.
Resources For Caregivers | AssistedLiving.com
Resources For Caregivers | AssistedLiving.com: Government and Nonprofit Resources For Seniors
Assisted living: compassionate, competent care | Sally Michael , UTSanDiego.com
Assisted living: compassionate, competent care | UTSanDiego.com: ⌂
Assisted living: compassionate, competent care
The positive, everyday experiences taking place in thousands of senior communities across this country are the reality of Assisted Living. Like Marion, countless seniors and their families breathe a sigh of relief daily knowing they are well taken care of, safe, and living as independently as possible. Their caregivers are dedicated professionals who go the extra mile to make life more comfortable and easier to manage. While the truth about Assisted Living is not likely to be the focus of overblown media hype, it has taken hold. 94% of residents like what they have experienced and 99% feel safe. This is a model that works and preserves dignity and independence for our seniors.
Sally Michael is the president of the California Assisted Living Association, which represents over 460 Assisted Living communities in the state. Members range from providers that cater to an active lifestyle to those that specialize in caring for residents with memory impairment.
Assisted living: compassionate, competent care
The positive, everyday experiences taking place in thousands of senior communities across this country are the reality of Assisted Living. Like Marion, countless seniors and their families breathe a sigh of relief daily knowing they are well taken care of, safe, and living as independently as possible. Their caregivers are dedicated professionals who go the extra mile to make life more comfortable and easier to manage. While the truth about Assisted Living is not likely to be the focus of overblown media hype, it has taken hold. 94% of residents like what they have experienced and 99% feel safe. This is a model that works and preserves dignity and independence for our seniors.
Sally Michael is the president of the California Assisted Living Association, which represents over 460 Assisted Living communities in the state. Members range from providers that cater to an active lifestyle to those that specialize in caring for residents with memory impairment.
"SENIOR BULLYING ACROSS THE AGES: SENIORS BULLYING OTHER SENIORS" | LinkedIn
"SENIOR BULLYING ACROSS THE AGES: SENIORS BULLYING OTHER SENIORS" | LinkedIn:
Sandra Stimson National Council of Certified Dementia Practitioners, Founder
Seniors bullying other seniors in nursing homes, assisted facilities, Independent living, Hospice centers and seniors communities. Download this Staff Education Tool Kit in pdf or powerpoint presentation by registering free at www.nccdp.org now through March 15 2014
Sandra Stimson National Council of Certified Dementia Practitioners, Founder
Seniors bullying other seniors in nursing homes, assisted facilities, Independent living, Hospice centers and seniors communities. Download this Staff Education Tool Kit in pdf or powerpoint presentation by registering free at www.nccdp.org now through March 15 2014
How to Message LinkedIn Group Members | @StacyZapar's Blog
How to Message LinkedIn Group Members | @StacyZapar's Blog
You used to be able to message fellow group members via a link right on their profile. That went away many years ago and it's now much more convoluted and you really have to know what you’re doing to figure it out. It’s not intuitive in the least (in my opinion) and it even took me a while to find the feature after this latest change to the functionality and user interface. (Note: This could be a sign that the feature is in the process of being phased out… Much easier to do away with something that no one could find recently anyway.)
Stacy Donovan Zapar is a 16-year recruiting veteran for Fortune 500 tech companies and CEO of Tenfold Social Training, a B2B Social Recruiting training company for talent acquisition and staffing teams around the world. She is also the Most Connected Woman on LinkedIn with more than 40,000 1st-level connections, making her the #5 most connected person out of 259 million users worldwide. She is a monthly contributor to LinkedIn's Talent Blog and served as Technical Editor for Wiley's LinkedIn Marketing: An Hour a Day. Stacy speaks regularly at HR / Recruiting conferences globally, including #truLondon, LinkedIn Talent Connect and Sourcing Summit Australia. She is #6 on Huffington Post's Top 100 Most Social HR Experts on Twitter and #7 on ERE.net's 50 People Most Retweeted by Recruiters on Twitter. Feel free to connect with Stacy on LinkedIn and Twitter (@StacyZapar).
You used to be able to message fellow group members via a link right on their profile. That went away many years ago and it's now much more convoluted and you really have to know what you’re doing to figure it out. It’s not intuitive in the least (in my opinion) and it even took me a while to find the feature after this latest change to the functionality and user interface. (Note: This could be a sign that the feature is in the process of being phased out… Much easier to do away with something that no one could find recently anyway.)
Stacy Donovan Zapar is a 16-year recruiting veteran for Fortune 500 tech companies and CEO of Tenfold Social Training, a B2B Social Recruiting training company for talent acquisition and staffing teams around the world. She is also the Most Connected Woman on LinkedIn with more than 40,000 1st-level connections, making her the #5 most connected person out of 259 million users worldwide. She is a monthly contributor to LinkedIn's Talent Blog and served as Technical Editor for Wiley's LinkedIn Marketing: An Hour a Day. Stacy speaks regularly at HR / Recruiting conferences globally, including #truLondon, LinkedIn Talent Connect and Sourcing Summit Australia. She is #6 on Huffington Post's Top 100 Most Social HR Experts on Twitter and #7 on ERE.net's 50 People Most Retweeted by Recruiters on Twitter. Feel free to connect with Stacy on LinkedIn and Twitter (@StacyZapar).
HOME STAIR LIFTS, PORTABLE AND CUSTOM MODULAR WHEELCHAIR RAMPS
HOME STAIR LIFTS, PORTABLE AND CUSTOM MODULAR WHEELCHAIR RAMPS: Living Free Home, a division of Homecare America, is a leading provider of high quality accessibility solutions and products manufactured in the USA. We proudly serve customers throughout the tri-state area with our core commitment to 5 star service.
We specialize in a wide variety of accessibility solutions, from stairlifts, portable wheelchair ramps, modular wheelchair ramps, vertical and vehicle lifts, to Elegance, Heritage, Classic and Specialty lift chairs, wheelchair lifts and handicapped lifts.
We specialize in a wide variety of accessibility solutions, from stairlifts, portable wheelchair ramps, modular wheelchair ramps, vertical and vehicle lifts, to Elegance, Heritage, Classic and Specialty lift chairs, wheelchair lifts and handicapped lifts.
Medicare to Cover More Mental Health Costs - NYTimes.com
Medicare to Cover More Mental Health Costs - NYTimes.com: The Medicare change follows new regulations issued last month by the administration for the Mental Health Parity and Addiction Equity Act, which expanded the principle of equal treatment for psychological illnesses to all forms health insurance. But that law does not apply to Medicare.
“Hopefully, older adults who previously were unable to afford to see a therapist will now be more likely to do so,” said Andrea Callow, a policy lawyer with the Center for Medicare Advocacy.
“Hopefully, older adults who previously were unable to afford to see a therapist will now be more likely to do so,” said Andrea Callow, a policy lawyer with the Center for Medicare Advocacy.
2014 Caregiver Overtime Law - Effective January 1st in California | LinkedIn
2014 Caregiver Overtime Law - Effective January 1st in California | LinkedIn: 2014 Caregiver Overtime Law - Effective January 1st in California
Jeromy Meyer Community Liaison at Raya's Paradise Board & Care and CARE Homecare - West Hollywood
I wanted to share some news about the new law regarding caregiver overtime. As you are well aware I'm sure, on January 1, 2014 the state of California will be requiring ALL licensed, insured & bonded in-home caregiver/companion providers to pay Caregivers overtime. As a provider also of Caregivers in the home, Raya's Paradise/CARE Homecare have come up with a way to fairly accommodate those clients and families who's rates will become impossible to maintain.
Jeromy Meyer, Community Liaison
CARE Homecare and Raya's Paradise Board & Care
cell: 323-599-6056
www.carehomecare.net
www.rayasparadise.com
Jeromy Meyer Community Liaison at Raya's Paradise Board & Care and CARE Homecare - West Hollywood
I wanted to share some news about the new law regarding caregiver overtime. As you are well aware I'm sure, on January 1, 2014 the state of California will be requiring ALL licensed, insured & bonded in-home caregiver/companion providers to pay Caregivers overtime. As a provider also of Caregivers in the home, Raya's Paradise/CARE Homecare have come up with a way to fairly accommodate those clients and families who's rates will become impossible to maintain.
Jeromy Meyer, Community Liaison
CARE Homecare and Raya's Paradise Board & Care
cell: 323-599-6056
www.carehomecare.net
www.rayasparadise.com
Wound Care Basics Today's Caregiver magazine November/December Issue
Nov_Dec_Digital.pdf
Wound Care Basics
Studies have shown that more than one-third of caregivers believe wound care is a challenging task and want better education on treatment.
Whether your loved one is living with diabetes, skin tears or pressure ulcers, wound care is an important topic for family caregivers to learn more about.
Wound Care Basics
Studies have shown that more than one-third of caregivers believe wound care is a challenging task and want better education on treatment.
Whether your loved one is living with diabetes, skin tears or pressure ulcers, wound care is an important topic for family caregivers to learn more about.
Smoothe Foods - Links
Smoothe Foods - Links
http://www.caring.com
Dysphagia:
http://www.nfosd.com
http://www.Asha.org
http://www.NIH.gov
http://www.webmd.com
http://www.alsa.org
http://www.cancer.org
http://www.cancer.org
http://www.ninds.nih.gov
http://www.stroke.org
http://www.alz.org
http://www.swallowingdisorderfoundation.com
http://www.americandysphagianetwork.org
http://www.nmsss.org
http://www.parkinson.org
Gastrointestinal:
http://www.gastro.org/patient-center
http://www.IFFGD.org
http://www.NIH.gov
http://www.webmd.com
Smoothe Foods Goals: Our goal is to provide so many positive outcomes.
Educate individuals, caregivers, and professionals - How to realize when someone can benefit from Smoothe foods due to swallowing issues thus avoiding malnutrition, dehydration and even pain. Also determine when Smoothe Foods can provide nutrition when someone experiences poor digestive functions or chewing sensitivity due to dental issues.
Nutritious, All Natural & Delicious High Quality Meals for better health - An alternative to sugar laden shakes, baby food and powdered or canned food. Just because you cannot eat regular food doesn’t mean you can't have good, healthy meals.
Convenience - The meals are convenient to prepare – just heat & eat!
Peace of mind - Offering great meals for nutritional and emotio
They love to provide you with tools to help keep you informed on progress and resources for various conditions. See links below. These organizations do not endorse products.
Caregivershttp://www.caring.com
Dysphagia:
http://www.nfosd.com
http://www.Asha.org
http://www.NIH.gov
http://www.webmd.com
http://www.alsa.org
http://www.cancer.org
http://www.cancer.org
http://www.ninds.nih.gov
http://www.stroke.org
http://www.alz.org
http://www.swallowingdisorderfoundation.com
http://www.americandysphagianetwork.org
http://www.nmsss.org
http://www.parkinson.org
Gastrointestinal:
http://www.gastro.org/patient-center
http://www.IFFGD.org
http://www.NIH.gov
http://www.webmd.com
Smoothe Foods Goals: Our goal is to provide so many positive outcomes.
Caregiver Daily Log
Caregiver Daily Log
If you've hired your caregiver privately, unless you provide an easy-to-use form the chances that your caregiver will consistently make note of what you need and want to know is slim. Some families ask their caregivers to record notes in a loose-leaf or spiral notebook, but without guidance about what to record, these notes tend to become shorter and shorter as time goes by.
The Caregiver Daily Log form is available for you to download and use. Remember to save it to your computer in a place you can remember. Print one two-sided sheet per caregiver per day. The easiest way to keep them organized for your caregiver(s) is to use a three-hole punch and keep them in a three-ring binder.
If you've hired your caregiver privately, unless you provide an easy-to-use form the chances that your caregiver will consistently make note of what you need and want to know is slim. Some families ask their caregivers to record notes in a loose-leaf or spiral notebook, but without guidance about what to record, these notes tend to become shorter and shorter as time goes by.
The Caregiver Daily Log form is available for you to download and use. Remember to save it to your computer in a place you can remember. Print one two-sided sheet per caregiver per day. The easiest way to keep them organized for your caregiver(s) is to use a three-hole punch and keep them in a three-ring binder.
"Advocates for Patient Friendly Hospitals"
"Advocates for Patient Friendly Hospitals"
"Patient Freindly Hospitals"
All-inclusive discussion of patient focused practices. Conversations concerning the many needs of patients who are strangers to hospitals, emergency departments, emergency rooms and the mind boggling array of inpatient and outpatient orginization.
Healthcare professionals can't respond with patient focused care unless they are trained and their organization has a common guidelines how to manage patient confusion, fear, cognitive issues and finding their way around the hospital.
"Patient Freindly Hospitals"
All-inclusive discussion of patient focused practices. Conversations concerning the many needs of patients who are strangers to hospitals, emergency departments, emergency rooms and the mind boggling array of inpatient and outpatient orginization.
Healthcare professionals can't respond with patient focused care unless they are trained and their organization has a common guidelines how to manage patient confusion, fear, cognitive issues and finding their way around the hospital.
Create A Better Day Café will be held the 4th Sunday of each month from 1:00pm to 3:00pm
Create A Better Day Café
Are
you caring for someone with Alzheimer's or other dementia? Create A
Better Day Café encourages socialization with other caregivers and loved
ones where you can just be yourself. This is a wonderful opportunity to
get out with your loved one and have an enjoyable afternoon. It's a
time to step out of the daily routine, leave the disease at the door,
and enjoy a positive experience in a supportive environment. The
afternoon will consist of conversation, music, arts, games,
refreshments, and most importantly, laughter. There is no cost. It is
open to anyone at any stage of the disease process accompanied by
friends, family, and loved ones.
Our Next Café is
Sunday
November 24th, 2013
1:00pm to 3:00pm
Create A Better Day Café will be held the 4th Sunday of each month from 1:00pm to 3:00pm
at Pleasantries Adult Day Services 195 Reservoir Street
Marlborough, MA.
at Pleasantries Adult Day Services 195 Reservoir Street
Marlborough, MA.
Call Tammy for more information at 508-481-0809
Due to possible cancellation from inclement weather or illness, please call prior to attending and listen to voice message
How to Widen a Doorway • Ron Hazelton Online
How to Widen a Doorway • Ron Hazelton Online • DIY Ideas & Projects: Learn how widen a doorway; includes details on inspection holes, removing wall coverings and installing new framing.
Related Project
In the course of widening this doorway, some damaged flooring was exposed. view a video that shows how that situation was handled.
.
Related Project
In the course of widening this doorway, some damaged flooring was exposed. view a video that shows how that situation was handled.
.
Palliative Care Services: Support For the Entire Family | Griswold
Palliative Care Services: Support For the Entire Family | Griswold: Caring For More Than Just the Patient
Palliative care services are also not focused solely on the patient. The palliative care team understands the important role that family members and friends play in the recovery and comfort of the patient. Part of the services offered include dealing with the emotional and spiritual needs of the patient and family. A chronic or life threatening illness can take a heavy emotional toll. The palliative care team will help reduce the stress of the family caretakers.
Costs are always a concern when it comes to medical issues. As most palliative care takes place in a hospital or nursing home, for the most part it is typically covered by insurance including Medicare and Medicaid. If payment is an issue, a palliative care team member can help determine which payment options are best for you.
Palliative care teams understand the stresses that you and your family face. The anxiety, fatigue, depression, and pain that can become part of coping with a chronic illness do not have to become the center of everyone’s attention and the focus of their energy. For an older adult with a serious or chronic disease, palliative care can add an additional layer of support and care for the patient and family members.
Palliative care services are also not focused solely on the patient. The palliative care team understands the important role that family members and friends play in the recovery and comfort of the patient. Part of the services offered include dealing with the emotional and spiritual needs of the patient and family. A chronic or life threatening illness can take a heavy emotional toll. The palliative care team will help reduce the stress of the family caretakers.
Costs are always a concern when it comes to medical issues. As most palliative care takes place in a hospital or nursing home, for the most part it is typically covered by insurance including Medicare and Medicaid. If payment is an issue, a palliative care team member can help determine which payment options are best for you.
Palliative care teams understand the stresses that you and your family face. The anxiety, fatigue, depression, and pain that can become part of coping with a chronic illness do not have to become the center of everyone’s attention and the focus of their energy. For an older adult with a serious or chronic disease, palliative care can add an additional layer of support and care for the patient and family members.
Dementia: How to Protect Your Family Member in a Nursing Home | Alzheimer's Speaks Blog
Dementia: How to Protect Your Family Member in a Nursing Home | Alzheimer's Speaks Blog: Key Points When Choosing a Home
When you’re looking at different nursing homes, there are different things to look at and consider. By taking a look at these points, you’ll know exactly what kind of a home that your loved one is living at.
· You should start by checking out the Nursing Home Compare program provided by the Medicare website. This online programs allow you to view if they have any recent penalties, what they scored on their last inspection, and how they rate in comparison to other nursing homes in the area.
· Look at the staffing. Especially if your loved one is diagnosed with dementia—they are going to be in need of constant care. Look at the ratio of aid to patients on the nursing home compare website. Ask the employees how often they switch patients. You can also find this information on the Nursing Home Compare website. You’re paying the money—make sure you are getting what you ask for.
When you’re looking at different nursing homes, there are different things to look at and consider. By taking a look at these points, you’ll know exactly what kind of a home that your loved one is living at.
· You should start by checking out the Nursing Home Compare program provided by the Medicare website. This online programs allow you to view if they have any recent penalties, what they scored on their last inspection, and how they rate in comparison to other nursing homes in the area.
· Look at the staffing. Especially if your loved one is diagnosed with dementia—they are going to be in need of constant care. Look at the ratio of aid to patients on the nursing home compare website. Ask the employees how often they switch patients. You can also find this information on the Nursing Home Compare website. You’re paying the money—make sure you are getting what you ask for.
Training & Workshop Schedule | SBDC | Clark University
Training & Workshop Schedule | SBDC | Clark University: Your First Business Plan
Thursday, November 21, 2013
8:45 – 12 noon
Grace Conference Room, Higgins University Center
This next program covers a topic that is critically important with the start-up process of a small business and can also be beneficial to existing businesses that may be ready to expand. After you have proven the feasibility of your concept, limited your risk, analyzed your financials, and developed a marketing plan – how do you package all of this information together so you can really get your business started?
Our team of expert advisors enjoy working with people who are ready to get their businesses started. Developing a winning business plan can be invaluable as a management planning tool and or as a loan proposal. The business plan becomes the blueprint that an entrepreneur can follow to avoid the pitfalls that await every small business owner. This program is designed to guide the participants on a step by step journey to develop a thorough and comprehensive Business Plan.
Topics that will be included are:
• What a banker looks for in a business plan
• Defining the business
• Describing the target markets
• The marketing/advertising program
• Projected balance sheets
• Projected income statements
• Projected cash flow projections
Thursday, November 21, 2013
8:45 – 12 noon
Grace Conference Room, Higgins University Center
This next program covers a topic that is critically important with the start-up process of a small business and can also be beneficial to existing businesses that may be ready to expand. After you have proven the feasibility of your concept, limited your risk, analyzed your financials, and developed a marketing plan – how do you package all of this information together so you can really get your business started?
Our team of expert advisors enjoy working with people who are ready to get their businesses started. Developing a winning business plan can be invaluable as a management planning tool and or as a loan proposal. The business plan becomes the blueprint that an entrepreneur can follow to avoid the pitfalls that await every small business owner. This program is designed to guide the participants on a step by step journey to develop a thorough and comprehensive Business Plan.
Topics that will be included are:
• What a banker looks for in a business plan
• Defining the business
• Describing the target markets
• The marketing/advertising program
• Projected balance sheets
• Projected income statements
• Projected cash flow projections
When Cognition & Hearing Loss Collide
When Cognition & Hearing Loss Collide: When Cognition & Hearing Loss Collide
By Jennifer Bradley, Staff Writer
(Page 1 of 2)
While it’s not “new” news, study results reported in the January 2013 Journal of the Medical Association Internal Medicine are confirming what many professionals have believed: that cognitive loss and hearing loss collide on a large scale.
The study, from the John Hopkins University School of Medicine, is the first of its kind and is viewing long-term brain function impacted by hearing loss. When the study began in 2001, the 1,984 participants (in the age range of 75 to 84) were in good health and had no cognitive impairment. Over a period of six years, hearing and brain cognition tests were administered. Study researchers determined that brain ability was in direct correlation to hearing loss. Those who did have hearing loss suffered more substantial cognitive impairment more than three years sooner than others with normal hearing levels.
By Jennifer Bradley, Staff Writer
(Page 1 of 2)
If you find a loved one asking repetitive questions, becoming more confused and forgetful, you may assume they have dementia, but the cause could be hearing loss.
While it’s not “new” news, study results reported in the January 2013 Journal of the Medical Association Internal Medicine are confirming what many professionals have believed: that cognitive loss and hearing loss collide on a large scale.
The study, from the John Hopkins University School of Medicine, is the first of its kind and is viewing long-term brain function impacted by hearing loss. When the study began in 2001, the 1,984 participants (in the age range of 75 to 84) were in good health and had no cognitive impairment. Over a period of six years, hearing and brain cognition tests were administered. Study researchers determined that brain ability was in direct correlation to hearing loss. Those who did have hearing loss suffered more substantial cognitive impairment more than three years sooner than others with normal hearing levels.
Links | GeriPal - Geriatrics and Palliative Care Blog
Links | GeriPal - Geriatrics and Palliative Care Blog: Home
Links
We are populating a new list of links for national geriatrics and palliative care organizations (in addition to the blog role that is on our main page). Let us know if you have other sites that you think should be on this list!
Welcome to GeriPal
GeriPal (Geriatrics and Palliative care) is a forum for discourse, recent news and research, and freethinking commentary. Our objectives are: 1) to create an online community of interdisciplinary providers interested in geriatrics or palliative care; 2) to provide an open forum for the exchange of ideas and disruptive commentary that changes clinical practice and health care policy; and 3) to change the world.
Who is GeriPal
GeriPal was founded by Eric Widera and Alex Smith.
Contributors include Theresa Allison, Bob Arnold, Shaida Talebreza Brandon, Helen Chen, Amy Corcoran, Ken Covinsky, Anne Johnson, Bree Johnston, Helen Kao, Chrissy Kistler, Leslie Kernisan, Sei Lee, Hillary Lum, Susan Lysaght, Dan Matlock, Brad Miller, Aanand Naik, Carla Perissinotto, VJ Periyakoil, Mike Steinman, Rebecca Sudore, Tanya Lugliani Stewart, Brad Stuart, Paul Tatum, Julie Thai, Ori Tzvieli, Patrice Villars, Lindsey Yourman, and Ron Walent.
Links
We are populating a new list of links for national geriatrics and palliative care organizations (in addition to the blog role that is on our main page). Let us know if you have other sites that you think should be on this list!
Welcome to GeriPal
GeriPal (Geriatrics and Palliative care) is a forum for discourse, recent news and research, and freethinking commentary. Our objectives are: 1) to create an online community of interdisciplinary providers interested in geriatrics or palliative care; 2) to provide an open forum for the exchange of ideas and disruptive commentary that changes clinical practice and health care policy; and 3) to change the world.
Who is GeriPal
GeriPal was founded by Eric Widera and Alex Smith.
Contributors include Theresa Allison, Bob Arnold, Shaida Talebreza Brandon, Helen Chen, Amy Corcoran, Ken Covinsky, Anne Johnson, Bree Johnston, Helen Kao, Chrissy Kistler, Leslie Kernisan, Sei Lee, Hillary Lum, Susan Lysaght, Dan Matlock, Brad Miller, Aanand Naik, Carla Perissinotto, VJ Periyakoil, Mike Steinman, Rebecca Sudore, Tanya Lugliani Stewart, Brad Stuart, Paul Tatum, Julie Thai, Ori Tzvieli, Patrice Villars, Lindsey Yourman, and Ron Walent.
Alzheimer's Navigator an Alzheimer's Association service
Alzheimer's Navigator: Map out a plan to approach Alzheimer's
When facing Alzheimer's disease, there are a lot of things to consider. Alzheimer's Navigator helps guide you to answers by creating a personalized action plan and linking you to information, support and local resources.
You can move at your own pace
Create your private profile and complete the Welcome Survey.
Take short surveys pertaining to your needs with:
Planning for the Future
Working with Doctor/Healthcare Professionals
Caregiver Support
Activities of Daily Living
Home Safety
Driving
Knowledge of Alzheimer's
Review your action plan to get more information, support and local resources.
When facing Alzheimer's disease, there are a lot of things to consider. Alzheimer's Navigator helps guide you to answers by creating a personalized action plan and linking you to information, support and local resources.
You can move at your own pace
Create your private profile and complete the Welcome Survey.
Take short surveys pertaining to your needs with:
Planning for the Future
Working with Doctor/Healthcare Professionals
Caregiver Support
Activities of Daily Living
Home Safety
Driving
Knowledge of Alzheimer's
Review your action plan to get more information, support and local resources.
How to help if someone you care for has a fall | Stroke4Carers
How to help if someone you care for has a fall | Stroke4Carers: How to help if someone you care for has a fall
Video running time: 07.13 minutes. The film may take time to download depending on your broadband speed.
To enlarge to full screen click on the arrows at the bottom right of the frame.
If you are having problems playing the video, download the clip here [.mp4, 28.6 MB] (Right click this link, and “Save As”). http://www.stroke4carers.org/wp-content/uploads/GETTING_UP_AFTER_A_FALL.mp4
Video running time: 07.13 minutes. The film may take time to download depending on your broadband speed.
To enlarge to full screen click on the arrows at the bottom right of the frame.
If you are having problems playing the video, download the clip here [.mp4, 28.6 MB] (Right click this link, and “Save As”). http://www.stroke4carers.org/wp-content/uploads/GETTING_UP_AFTER_A_FALL.mp4
Carers Chill4us | Support Care and Friendship
Carers Chill4us | Support Care and Friendship: Elderly and disabled people who need care in their own homes have been hit with rises of up to 160 per cent in their bills in just five years, new research shows.
By John Bingham, Social Affairs Editor
7:00AM BST 19 Sep 2013
New care measure 'sets bar too high' for elderly and disabled, say charities Home care fees rise by up to 160pc as rationing takes hold Photo: IAN JONES
The number of areas in which the state support for care is available to anyone other than the most frail has also halved in the same period, it discloses.
A study by Which?, the consumer rights group, exposes the full extent to which councils are rationing care as they attempt to absorb major cuts to their budgets.
Based on information obtained under the Freedom of Information Act, it discloses that there are now only 12 local authorities in England and Wales still offering care to people whose needs are officially assessed as “moderate”. Five years ago it was able to identify 26 areas where this was still available
By John Bingham, Social Affairs Editor
7:00AM BST 19 Sep 2013
New care measure 'sets bar too high' for elderly and disabled, say charities Home care fees rise by up to 160pc as rationing takes hold Photo: IAN JONES
The number of areas in which the state support for care is available to anyone other than the most frail has also halved in the same period, it discloses.
A study by Which?, the consumer rights group, exposes the full extent to which councils are rationing care as they attempt to absorb major cuts to their budgets.
Based on information obtained under the Freedom of Information Act, it discloses that there are now only 12 local authorities in England and Wales still offering care to people whose needs are officially assessed as “moderate”. Five years ago it was able to identify 26 areas where this was still available
Questions to Ask When Your Aging Parent is Discharged from the Hospital - eCaring Forum
Questions to Ask When Your Aging Parent is Discharged from the Hospital
Posted on September 9, 2013 by Melody Wilding
If your parent is returning home after discharge, be prepared with this comprehensive list of questions to ask the discharge planner.
About your loved one’s health condition:
eCaring.com | Better Lives through Better Care | About Us: eCaring was started by family members responsible for coordinating and planning 24 hour home care for their elderly parents.
Responding to the difficulties and challenges of providing such care, they reached out to find the best professional and practical expertise of health care-industry professionals.
In doing so, they created eCaring:
a complete, Web-based system
for recording, monitoring, and managing
health at home
==
Questions to Ask When Your Aging Parent is Discharged from the Hospital - eCaring Forum:
Posted on September 9, 2013 by Melody Wilding
If your parent is returning home after discharge, be prepared with this comprehensive list of questions to ask the discharge planner.
About your loved one’s health condition:
- Please explain the diagnosis at discharge.
- What milestones and setbacks can we expect during recovery?
- What follow-up appointments are needed and with whom? Who is scheduling them?
- Where will these appointments take place? At home? In the office?
- Who can I call with questions?
- What types of health care services have been prescribed? (physical therapy, home health service)
- How long are these services needed for?
- Who is paying for them?
- What date and time will my loved one be discharged?
- How do you suggest the transfer to the home be made (car, taxi, ambulance)? Is an escort necessary?
- What equipment will we need in the home? (hospital bed, oxygen tank, wheelchair, bedside commode)
- Can you demonstrate how to use equipment we are unfamiliar with?
- Who pays for this equipment?
- How do reorder supplies and who do we call with problems?
- What type of supervision and level of personal care will my loved one need?
- Can you or the appropriate person teach me techniques for skills I need to perform such as giving injections or changing dressings?
- What, if any, special dietary restrictions does my loved one have?
- What medication has been prescribed?
- What side effects are associated with these medications? (falls, confusion, nausea)
eCaring.com | Better Lives through Better Care | About Us: eCaring was started by family members responsible for coordinating and planning 24 hour home care for their elderly parents.
Responding to the difficulties and challenges of providing such care, they reached out to find the best professional and practical expertise of health care-industry professionals.
In doing so, they created eCaring:
a complete, Web-based system
for recording, monitoring, and managing
health at home
==
eCaring Payroll Module http://ecaring.com/payroll-module
For families paying for home health care, and agencies providing it, eCaring provides the best possible report for time worked and wages, up-to-date and easily accessibleQuestions to Ask When Your Aging Parent is Discharged from the Hospital - eCaring Forum:
Choosing a Care Facility: Evaluate the Financial Issues
Choosing a Care Facility: Evaluate the Financial Issues: Choosing a Care Facility: Evaluate the Financial Issues
The final factor you need to address when evaluating a care facility is finances. A stay in a care facility is not inexpensive, and you should make sure that you understand exactly what fees will be charged, and what services your loved one will receive in return.
Any contract between the resident and facility should clearly state the costs, dates of admission, services provided, and discharge and transfer conditions. You should also ask to see a list of fees for any services that aren't included in the basic rate. Finally, be sure to compare the costs of the different facilities that you are considering.
The final factor you need to address when evaluating a care facility is finances. A stay in a care facility is not inexpensive, and you should make sure that you understand exactly what fees will be charged, and what services your loved one will receive in return.
Any contract between the resident and facility should clearly state the costs, dates of admission, services provided, and discharge and transfer conditions. You should also ask to see a list of fees for any services that aren't included in the basic rate. Finally, be sure to compare the costs of the different facilities that you are considering.
Improve the care of people with in hospitals
New innovative training to improve the care of people with dementia in general hospitals: Pat Graham, Senior Nurse for Older People at Bolton NHS Foundation Trust, said: “It’s so important for the care of people with dementia that all staff understand them and how best to meet their needs. The programme can be delivered in a very flexible way which means it can be accessed easily. Our staff have benefited greatly from the training and therefore so have our patients.”
The “Getting to Know Me” training materials can be downloaded free of charge from http://www.gmhiec.org.uk.
The project was funded by Greater Manchester Health, Innovation and Education Cluster (GM-HIEC).
The “Getting to Know Me” training materials can be downloaded free of charge from http://www.gmhiec.org.uk.
The project was funded by Greater Manchester Health, Innovation and Education Cluster (GM-HIEC).
Alzheimer's Caregiver Center | caregiving advice sorted by the stage of Alzheimer's progress.
Alzheimer's Association offers caregiving advice sorted by the stage you face as Alzheimer's progresses.
You are not alone. The Alzheimer's Association is here to help.
http://www.alz.org/care/alzheimers-early-mild-stage-caregiving.asp
http://www.alz.org/care/alzheimers-mid-moderate-stage-caregiving.asp
http://www.alz.org/care/alzheimers-late-end-stage-caregiving.asp
Caregiver's Discussion Group:
"ALZConnected is a place where I can safely share my concerns and get advice."
State Medicaid Hospice Services - Hospice Patients Alliance
State Medicaid Hospice Services - Hospice Patients Alliance: Hospice Patients Alliance: Consumer Advocates
Medicaid Reimbursed Hospice Services
Health Care Financing Administration website's public information on state Medicaid hospice services.
www.hcfa.gov/medicaid/ltc2.htm but HCFA is now Centers for Medicare Services.
See Hospice Medicaid regulation information at:
http://www.cms.hhs.gov/CFCsAndCoPs/05_Hospice.asp
or http://www.access.gpo.gov/nara/cfr/waisidx_04/42cfr418_04.html
Permission was granted to share these articles with others, to print them, or post them on other websites so long as credit is given to the author and Hospice Patients Alliance with a link to this original page.
Back to Articles by Ron Panzer
Medicaid Reimbursed Hospice Services
Health Care Financing Administration website's public information on state Medicaid hospice services.
www.hcfa.gov/medicaid/ltc2.htm but HCFA is now Centers for Medicare Services.
See Hospice Medicaid regulation information at:
http://www.cms.hhs.gov/CFCsAndCoPs/05_Hospice.asp
or http://www.access.gpo.gov/nara/cfr/waisidx_04/42cfr418_04.html
Permission was granted to share these articles with others, to print them, or post them on other websites so long as credit is given to the author and Hospice Patients Alliance with a link to this original page.
Back to Articles by Ron Panzer
Welcome to the I CAN! I WILL! Library | Alzheimer's Disease International
Welcome to the I CAN! I WILL! Library | Alzheimer's Disease International
Welcome to the I CAN! I WILL! Library
I CAN! I WILL! is a library of ideas to help people around the world stand up and speak out about Alzheimer’s disease and related disorders.
These ideas, which raise awareness about dementia and help to erase the stigma, have been contributed by people just like you - people with dementia, care partners, medical professionals, volunteers and advocates - so that you can learn from their experiences and they can learn from you.The Association of Directors of Adult Social Services (ADASS) UK
The Association of Directors of Adult Social Services (ADASS): Welcome
Welcome to the ADASS Website - the home of the Association of Directors of Adult Social Services, and the voice of adult social care. The site contains the whole range of policy initiatives, press releases and consultation responses that constitute so much of the daily activity of the Association's members, and is regularly updated.
The main contact details of the Association can be found at the foot of every page. Please post comments about this site - we value your views.
Welcome to the ADASS Website - the home of the Association of Directors of Adult Social Services, and the voice of adult social care. The site contains the whole range of policy initiatives, press releases and consultation responses that constitute so much of the daily activity of the Association's members, and is regularly updated.
The main contact details of the Association can be found at the foot of every page. Please post comments about this site - we value your views.
Retrofitting or Assisted Living | The BMA Blog
Retrofitting or Assisted Living | The BMA Blog: Retrofitting or Assisted Living
By Rick Banas of senior living and assisted living provider BMA Management, Ltd.
Neighborhood houses
Which might better? Retrofitting the house to accommodate aging in place or moving into a senior living or assisted living community?
Here are things to consider.
By Rick Banas of senior living and assisted living provider BMA Management, Ltd.
Neighborhood houses
Which might better? Retrofitting the house to accommodate aging in place or moving into a senior living or assisted living community?
Here are things to consider.
Please read: Talking Point updates
Please read: Talking Point updates
The main changes are outlined in the following posts, but if you have any questions or there is anything you’re not sure about, please post below or email talkingpoint@alzheimers.org.uk, and a member of the Talking Point team will get back to you as soon as possible.
1. New sub-forums
2. New drop-down menus and links to Alzheimer's Society resources
3. Members' personal menu options have moved
4. Moved buttons
5. Re-worded commands
The main changes are outlined in the following posts, but if you have any questions or there is anything you’re not sure about, please post below or email talkingpoint@alzheimers.org.uk, and a member of the Talking Point team will get back to you as soon as possible.
1. New sub-forums
2. New drop-down menus and links to Alzheimer's Society resources
3. Members' personal menu options have moved
4. Moved buttons
5. Re-worded commands
Grief for Spouse with Dementia | Lesley Postle Sydney Area, Australia
Grief for Spouse with Dementia or Alzheimer's
Lesley Postle wrote:
"Grief and loss can occur when the loved one is still alive, yet their personality and individuality has gone. Your spouse with dementia or Alzheimer's is gradually changing before your eyes and is becoming more and more dependent. You grieve for the loved one you had, whilst caring for the totally dependent person they have become."
"This long, slow loss of a loved one is a painful, difficult time for those coping with their home care. The husband who used to do all the DIY, gardening and deal with the household finances becomes like a child who has to be told what to wear and when to eat. The wife who used to be a great cook and homemaker becomes the child again. She has to be given food to eat, she can’t shop anymore as she comes home with pounds of tomatoes and nothing else. They are still with you, they have the same smile, they may appear outwardly normal, but the ability to cope alone is gone and they become totally dependent. Grief for Spouse with Dementia:"
Websites include www.pumpkinlicious.com - Owner
Lesley Postle wrote:
"Grief and loss can occur when the loved one is still alive, yet their personality and individuality has gone. Your spouse with dementia or Alzheimer's is gradually changing before your eyes and is becoming more and more dependent. You grieve for the loved one you had, whilst caring for the totally dependent person they have become."
"This long, slow loss of a loved one is a painful, difficult time for those coping with their home care. The husband who used to do all the DIY, gardening and deal with the household finances becomes like a child who has to be told what to wear and when to eat. The wife who used to be a great cook and homemaker becomes the child again. She has to be given food to eat, she can’t shop anymore as she comes home with pounds of tomatoes and nothing else. They are still with you, they have the same smile, they may appear outwardly normal, but the ability to cope alone is gone and they become totally dependent. Grief for Spouse with Dementia:"
Lesley Postle
Sydney Area, Australia
Websites include www.pumpkinlicious.com - Owner
www.griefandsympathy.com - Owner
www.sarahkeyphysiotherapy.com - builder
www.simplebackpain.com - builder
Her contact page on www.decolish.com
This Caring Home
This Caring Home
Rosemary Bakker is the creator and director of ThisCaringHome.org. She is also an interior designer, gerontologist, keynote speaker, and former caregiver to a mother with Alzheimer’s disease. She understands first-hand how difficult and rewarding caregiving can be. Most importantly, she learned how a dementia-friendly environment can make caregiving less difficult and more fulfilling. Rosemary is the recipient of many awards for her innovative education and has authored two books on interior design and aging, including Lark Books: The AARP Guide to Revitalizing Your Home: Beautiful Living for the Second Half of Life (2010). Rosemary is available for 1) Training and Speaking Engagements and 2) Design Consultations.
1) Training and Speaking Engagements
Rosemary brings a fresh innovative approach to dementia care training. Her lively presentations give professional and family caregivers the tips and tools they need to transform an ordinary dwelling into a dementia-friendly home. Learn about inspiring and practical solutions to everyday caregiving problems that enhance safety and well-being and help the person with dementia live a fuller, more meaningful life.
Keynote speeches, workshops, and lunchtime presentations can be customized to fit the needs of the audience, including healthcare providers, human resources, and family caregivers. Training on how to use ThisCaringHome as a vital resource can also be provided for service professionals.
Presentation Topics
Presentations cover a wide array of home safety and caregiving topics, including:
Rosemary Bakker is the creator and director of ThisCaringHome.org. She is also an interior designer, gerontologist, keynote speaker, and former caregiver to a mother with Alzheimer’s disease. She understands first-hand how difficult and rewarding caregiving can be. Most importantly, she learned how a dementia-friendly environment can make caregiving less difficult and more fulfilling. Rosemary is the recipient of many awards for her innovative education and has authored two books on interior design and aging, including Lark Books: The AARP Guide to Revitalizing Your Home: Beautiful Living for the Second Half of Life (2010). Rosemary is available for 1) Training and Speaking Engagements and 2) Design Consultations.
Rosemary brings a fresh innovative approach to dementia care training. Her lively presentations give professional and family caregivers the tips and tools they need to transform an ordinary dwelling into a dementia-friendly home. Learn about inspiring and practical solutions to everyday caregiving problems that enhance safety and well-being and help the person with dementia live a fuller, more meaningful life.
Keynote speeches, workshops, and lunchtime presentations can be customized to fit the needs of the audience, including healthcare providers, human resources, and family caregivers. Training on how to use ThisCaringHome as a vital resource can also be provided for service professionals.
Presentations cover a wide array of home safety and caregiving topics, including:
- Memory Aides
- 7 Steps to Better Bathing
- Cooking Safety
- Better Mealtimes
- Smart Home Devices
- Wandering Technologies
- Therapeutic & Fun Activities
- Dementia-Friendly Interior Design
- A Calmer Day: Reducing Agitation
About Senior Housing Forum
Senior Housing Forum exists to address issues and ideas that directly relate to the senior housing industry. It is published by Steve Moran a 30+ year senior housing veteran.
The following article was authored by Karen Austin
While teaching college English for 30 years, I thought I knew a great deal about the human mind. After all, I was teaching critical thinking. Entering the field of gerontology has brought me to a greater awareness of how the brain works. As people experience changes based on trauma, disease or even just the passing of time, we can see brain functions that we take for granted.
Because of my area of research and my blog, I frequently have friends and acquaintances ask me if a parent’s changing cognition is a sign of dementia, specifically Alzheimer’s disease. I am not a neurologist, so I am not qualified to assess. I ask them to schedule an appointment with their parent’s general practitioner.
Nevertheless, I provide an overview of some of the many reasons why an aging parent might demonstrate a change in cognition.
Age-related Cognitive Changes. By the time people reach their 40s, they usually notice it’s harder to retrieve names with ease. As we age, we experience cognitive slowing. This makes it harder to multi-task, and it takes longer to retrieve information. We also think better with fewer distractions.
Mild Cognitive Impairment. This diagnosis emerged in the 1990s as a midpoint between normal age-related changes and dementia. People with MCI experience cognitive changes greater than their age and educational level; however, they can still perform day-to-day functions. Only 30% will progress to dementia over 10 years. The rest hold steady or return to former cognitive levels.
Delirium. Often rapid change in cognition is due to delirium, brought on by dehydration, infection, sleep deprivation or incorrect use of prescription medication. It’s important to get immediate medical attention to treat the underlying problem causing the mental confusion.
Hospital-induced psychosis. Many people suffering from the shock of a medical problem will have a dramatic change in cognition affecting memory. Infection or pain medication can cause or contribute to an altered mental state. The effects sometimes extend beyond the hospital stay, morphing into post-traumatic stress disorder.
Psychological Disorders. Depression, post-traumatic stress disorder, and obsessive-compulsive disorder are just a few of the psychological disorders that can affect a person’s attention, concentration, executive function and memory. Depression is particularly under diagnosed and under-treated among older adults.
Drug or Alcohol Abuse. If a younger person behaves oddly, people will too often assume drug or alcohol abuse when it could be something else. Too often older people are pronounced “senile” when the cause for their cognitive disorder could be substance abuse.
Strokes or TIAs. If the cognitive change is sudden, the underlying cause could be a stroke or a transient ischemic attack (TIA). The person needs immediate medical attention.
Concussion or Traumatic Brain Injury. If a person has suffered a blow to the head from a fall or another type of accident, they might have a concussion. Or the injury could result in a traumatic brain injury, which is more serious.
Dementia. Yes, sometimes cognitive changes to signal the early stages of dementia from Alzheimer’s Disease, vascular dementia, Parkinson’s Disease, Huntington Disease or another disease. It’s vital to get an assessment with a cognitive tool such as the Wechsler Adult Intelligence Scale (WAIS). A doctor might first administer a shorter test in the office before referring to a neurologist or another specialist for more extensive testing.
Most often, cognitive changes are age-related, and the adult child is overly concerned. Nevertheless, sometimes a more serious problem causes the change in mental functioning, which requires attention from a medical professional. Learn more about the causes listed above by consulting qualified sources on the Internet, in print or in person.
When you are dealing with family members of residents who have cognitive changes, how do you help them with this painful reality?
Karen Austin blogs about aging at The Generation Above Me
Presented with permission from Steve Moran -
Steve's Bio
I am the publisher of Senior Housing Forum. In the early 80's shortly after graduating from college I stumbled into the senior housing industry. I started by operating and later developing a number of small 15 bed buildings (I was young, foolish and not terribly successful). For the next 20 or so years I worked in and around the senior housing developing and operating CCRC's and freestanding single level of care communities.
I took a 10 year detour into high tech but found that senior housing was my first love.
I am currently an account manager for Vigil Health Solutions where we provide the finest emergency call systems for independent living, assisted living, skilled living and dementia units. (www.vigil.com)
Steve
smoran@seniorhousingforum.net
Senior Housing Forum exists to address issues and ideas that directly relate to the senior housing industry. It is published by Steve Moran a 30+ year senior housing veteran.
The following article was authored by Karen Austin
While teaching college English for 30 years, I thought I knew a great deal about the human mind. After all, I was teaching critical thinking. Entering the field of gerontology has brought me to a greater awareness of how the brain works. As people experience changes based on trauma, disease or even just the passing of time, we can see brain functions that we take for granted.
Because of my area of research and my blog, I frequently have friends and acquaintances ask me if a parent’s changing cognition is a sign of dementia, specifically Alzheimer’s disease. I am not a neurologist, so I am not qualified to assess. I ask them to schedule an appointment with their parent’s general practitioner.
Nevertheless, I provide an overview of some of the many reasons why an aging parent might demonstrate a change in cognition.
Age-related Cognitive Changes. By the time people reach their 40s, they usually notice it’s harder to retrieve names with ease. As we age, we experience cognitive slowing. This makes it harder to multi-task, and it takes longer to retrieve information. We also think better with fewer distractions.
Mild Cognitive Impairment. This diagnosis emerged in the 1990s as a midpoint between normal age-related changes and dementia. People with MCI experience cognitive changes greater than their age and educational level; however, they can still perform day-to-day functions. Only 30% will progress to dementia over 10 years. The rest hold steady or return to former cognitive levels.
Delirium. Often rapid change in cognition is due to delirium, brought on by dehydration, infection, sleep deprivation or incorrect use of prescription medication. It’s important to get immediate medical attention to treat the underlying problem causing the mental confusion.
Hospital-induced psychosis. Many people suffering from the shock of a medical problem will have a dramatic change in cognition affecting memory. Infection or pain medication can cause or contribute to an altered mental state. The effects sometimes extend beyond the hospital stay, morphing into post-traumatic stress disorder.
Psychological Disorders. Depression, post-traumatic stress disorder, and obsessive-compulsive disorder are just a few of the psychological disorders that can affect a person’s attention, concentration, executive function and memory. Depression is particularly under diagnosed and under-treated among older adults.
Drug or Alcohol Abuse. If a younger person behaves oddly, people will too often assume drug or alcohol abuse when it could be something else. Too often older people are pronounced “senile” when the cause for their cognitive disorder could be substance abuse.
Strokes or TIAs. If the cognitive change is sudden, the underlying cause could be a stroke or a transient ischemic attack (TIA). The person needs immediate medical attention.
Concussion or Traumatic Brain Injury. If a person has suffered a blow to the head from a fall or another type of accident, they might have a concussion. Or the injury could result in a traumatic brain injury, which is more serious.
Dementia. Yes, sometimes cognitive changes to signal the early stages of dementia from Alzheimer’s Disease, vascular dementia, Parkinson’s Disease, Huntington Disease or another disease. It’s vital to get an assessment with a cognitive tool such as the Wechsler Adult Intelligence Scale (WAIS). A doctor might first administer a shorter test in the office before referring to a neurologist or another specialist for more extensive testing.
Most often, cognitive changes are age-related, and the adult child is overly concerned. Nevertheless, sometimes a more serious problem causes the change in mental functioning, which requires attention from a medical professional. Learn more about the causes listed above by consulting qualified sources on the Internet, in print or in person.
When you are dealing with family members of residents who have cognitive changes, how do you help them with this painful reality?
Karen Austin blogs about aging at The Generation Above Me
Presented with permission from Steve Moran -
Steve's Bio
I am the publisher of Senior Housing Forum. In the early 80's shortly after graduating from college I stumbled into the senior housing industry. I started by operating and later developing a number of small 15 bed buildings (I was young, foolish and not terribly successful). For the next 20 or so years I worked in and around the senior housing developing and operating CCRC's and freestanding single level of care communities.
I took a 10 year detour into high tech but found that senior housing was my first love.
I am currently an account manager for Vigil Health Solutions where we provide the finest emergency call systems for independent living, assisted living, skilled living and dementia units. (www.vigil.com)
Steve
smoran@seniorhousingforum.net
Better Day Café Next Café is Sunday, July 28th, 2013 1:00pm to 3:00pm
Better Day Café
Next Café is
Sunday, July 28th, 2013
1:00pm to 3:00pm
Create A Better Day Café will be held the 4th Sunday of each month from 1:00pm to 3:00pm at Pleasantries Adult Day Services 195 Reservoir Street Marlborough, MA.
Call Tammy for more information at 508-335-1968
---
http://alzheimercafes.blogspot.com/
Alzheimer's Cafes Worldwide
Cafes come by a number of names, Memory Cafes, Alzheimer's Cafes, Dementia Cafes. In the UK many have been in existence for several years. Currently the concept is gaining momentum and hundreds of memory cafes sprouting up everywhere. The concept is to provide a social occasion, a meetup, for anyone with dementia / Alzheimer's, their care givers and family. They are informal and generally free. Activities vary. Support and funding depends on the host-provider and contributions. Ish's, Ishmael's, Knowledge Network blogs, web sites, groups
TaskRabbit Support : About TaskRabbit
Prices of Popular Tasks:
Grocery Shopping
Avg. $35
House Cleaning
Avg. $60
Handyman
Avg. $85
Support Center/About TaskRabbit
Overview | Recent
Instant Answers for New Users (21) »
Why can't I log in to the Support Center?
How do I deactivate my account?
How can I see tasks that are posted on the website?
Marketplace Rules (6) »
Can I pay for a task using cash?
Can someone who is not a TaskRabbit do a task?
TaskRabbit's Guiding Principles
Trust and Safety (7) »
Are TaskPosters background-checked?
What if I have a question, dispute, or other problem?
Why do you need my credit card information? How does payment work?
Community Support For Developers (24) »
How do I access your API?
Can I start a taskrabbit in my hometown?
How do I get an 'access token' through OAuth
Ten Questions To Ask When Choosing A Home Care Provider | Area Agency on Aging of Pasco-Pinellas, Inc.Area Agency on Aging of Pasco-Pinellas, Inc.
What is the background of your company?
Search out the history and ownership of the company. What type of license do they have? Find out who owns the company and weigh how the ownership affects the company’s service and reliability. Is this agency backed by a nationally strong firm? Is it reputable and in good standing? Is it involved in professional organizations?
2. How long has your company been in business?
The number of years an agency has been in business is not always pertinent to the quality of care given, but it does reflect on the stability and success of the company.
3. What qualifications, certifications, experience and training do you require of your workers?
read more
from Area Agency on Aging of Pasco-Pinellas, Inc. Serving as a designated Aging and Disability Resource Center (ADRC) Main Office – Pinellas County, Florida20130221 DSC_0054 for web 9549 Koger Blvd. Gadsden Building, Suite 100 St Petersburg, FL 33702 Phone: (727) 570-9696 Helpline 1-800-963-5337 For inquiries from outside of the area call (727) 217-8111
Search out the history and ownership of the company. What type of license do they have? Find out who owns the company and weigh how the ownership affects the company’s service and reliability. Is this agency backed by a nationally strong firm? Is it reputable and in good standing? Is it involved in professional organizations?
2. How long has your company been in business?
The number of years an agency has been in business is not always pertinent to the quality of care given, but it does reflect on the stability and success of the company.
3. What qualifications, certifications, experience and training do you require of your workers?
read more
from Area Agency on Aging of Pasco-Pinellas, Inc. Serving as a designated Aging and Disability Resource Center (ADRC) Main Office – Pinellas County, Florida20130221 DSC_0054 for web 9549 Koger Blvd. Gadsden Building, Suite 100 St Petersburg, FL 33702 Phone: (727) 570-9696 Helpline 1-800-963-5337 For inquiries from outside of the area call (727) 217-8111
Tender Book Teaches Children about Alzheimer’s Disease | Alzheimer's Speaks Blog
Alzheimer's Speaks Blog
Trailblazing Teen Researcher
Wins Accolades for Best-Seller
Tender Book Teaches Children
about Alzheimer’s Disease
July 18, 2013, Boston, MA– At age five, Max Wallack learned to cope with his great-grandmother’s Alzheimer’s symptoms. Forgetfulness was the least of her problems: Max experienced her fears, episodes of irrational behavior, incontinence – even escape attempts. But Wallack didn’t just cope. He devoted himself to easing her suffering. By second grade, he had invented adaptive equipment to help her with mobility, and at age 12 he founded www.PuzzlesToRemember.org, a non-profit charity that distributes therapeutic puzzles at no cost to Alzheimer’s facilities worldwide.
Wins Accolades for Best-Seller
Tender Book Teaches Children
about Alzheimer’s Disease
July 18, 2013, Boston, MA– At age five, Max Wallack learned to cope with his great-grandmother’s Alzheimer’s symptoms. Forgetfulness was the least of her problems: Max experienced her fears, episodes of irrational behavior, incontinence – even escape attempts. But Wallack didn’t just cope. He devoted himself to easing her suffering. By second grade, he had invented adaptive equipment to help her with mobility, and at age 12 he founded www.PuzzlesToRemember.org, a non-profit charity that distributes therapeutic puzzles at no cost to Alzheimer’s facilities worldwide.
Caregiver Partnership Agreement Program™ to organizations and care facilities that provide specialized care for individuals living with Alzheimer’s and other dementias.
Home - Remembering4you - Alzheimer’s Coaching:
Dr. Ethelle Lord, Remembering 4 You P. O. Box 193 Mapleton, ME 04757 Phone: (207) 764-1214
a unique Caregiver Partnership Agreement Program™ to organizations and care facilities that provide specialized care for individuals living with Alzheimer’s and other dementias. In this program physicians, administrators, social workers, nursing staff, and families are trained and certified to work as a cohesive team known as Care Partners™ in a number of important areas such as instituting a care model versus the medical model to save about 50% in costs, speaking Alzheimer’s, adopting a seamless transfer method from home to long-term care, improved family communications, and many more.
Our perspective is that the medical model of care for Alzheimer’s and many dementias is not appropriate. Healthcare systems cannot continue to sustain in this way and change must begin with top decision makers. We must educate both family caregivers and professional caregivers in ways that will improve careDisclaimer: Remembering4You.com is NOT a medical website. It was developed to provide useful information for individuals and facilities who give care to individuals with Alzheimer's and other forms of dementia. We do not have medical personnel on staff or on retainer to answer your questions. We do not make any medical referrals or offer a second opinion to an existing medical condition such as Alzheimer's, and we cannot offer replies to any specific case because every case is different. Instead, we hope that you will use the many links offered throughout the website to locate other sites of interest; utilize our contact page to share ideas and ask questions; send us your personal story for publication on our Stories section; and to sign up for our class offerings if you feel those classes are of interest to you or to your organization. Remembering 4 You reserves the right to refuse to post any story that may be objectionable and if photos are mailed to us, we are unable to return them to you.
The information on the World Wide Web comes from many sources and changes on a daily basis. Please note that it is possible to find errors and omissions in such information. To the best of its knowledge Remembering 4 You, contributors and sponsors to this website believe the information presented on this website is accurate and complete.
The goal at Remembering4You.com is to support and encourage caregivers all over the world, family caregivers and professional caregivers, in their quest to provide care for individuals with Alzheimer's and other forms of dementia. It is our intent to create a safe place to meet and retreat together. We do not endorse any miracle cure or easy way to provide the care, but we do encourage visitors to our site to explore and challenge themselves whether it be through gathering information or taking a class. A link to an outside product or site should never be viewed as a recommendation or an endorsement of a particular product. Always consult your doctor first.
Note: Remembering 4 You believes you should always direct medical or health questions to your medical provider. and lower costs.
We can all learn something from your personal story. Please send your 1-2 pages personal story (with or without pictures) to: Dr. Ethelle Lord, P. O. Box 193, Mapleton, Me 04757 ---
Dr. Ethelle Lord, Remembering 4 You P. O. Box 193 Mapleton, ME 04757 Phone: (207) 764-1214
a unique Caregiver Partnership Agreement Program™ to organizations and care facilities that provide specialized care for individuals living with Alzheimer’s and other dementias. In this program physicians, administrators, social workers, nursing staff, and families are trained and certified to work as a cohesive team known as Care Partners™ in a number of important areas such as instituting a care model versus the medical model to save about 50% in costs, speaking Alzheimer’s, adopting a seamless transfer method from home to long-term care, improved family communications, and many more.
Our perspective is that the medical model of care for Alzheimer’s and many dementias is not appropriate. Healthcare systems cannot continue to sustain in this way and change must begin with top decision makers. We must educate both family caregivers and professional caregivers in ways that will improve careDisclaimer: Remembering4You.com is NOT a medical website. It was developed to provide useful information for individuals and facilities who give care to individuals with Alzheimer's and other forms of dementia. We do not have medical personnel on staff or on retainer to answer your questions. We do not make any medical referrals or offer a second opinion to an existing medical condition such as Alzheimer's, and we cannot offer replies to any specific case because every case is different. Instead, we hope that you will use the many links offered throughout the website to locate other sites of interest; utilize our contact page to share ideas and ask questions; send us your personal story for publication on our Stories section; and to sign up for our class offerings if you feel those classes are of interest to you or to your organization. Remembering 4 You reserves the right to refuse to post any story that may be objectionable and if photos are mailed to us, we are unable to return them to you.
The information on the World Wide Web comes from many sources and changes on a daily basis. Please note that it is possible to find errors and omissions in such information. To the best of its knowledge Remembering 4 You, contributors and sponsors to this website believe the information presented on this website is accurate and complete.
The goal at Remembering4You.com is to support and encourage caregivers all over the world, family caregivers and professional caregivers, in their quest to provide care for individuals with Alzheimer's and other forms of dementia. It is our intent to create a safe place to meet and retreat together. We do not endorse any miracle cure or easy way to provide the care, but we do encourage visitors to our site to explore and challenge themselves whether it be through gathering information or taking a class. A link to an outside product or site should never be viewed as a recommendation or an endorsement of a particular product. Always consult your doctor first.
Note: Remembering 4 You believes you should always direct medical or health questions to your medical provider. and lower costs.
We can all learn something from your personal story. Please send your 1-2 pages personal story (with or without pictures) to: Dr. Ethelle Lord, P. O. Box 193, Mapleton, Me 04757 ---
These 4 Things Happen Right Before a Heart Attack
These 4 Things Happen Right Before a Heart Attack
For a limited time, Newsmax Health is making Silent Heart Attacks: A Special Newsmax Heart Health Report available at no charge. Click here to see the 4 things that happen before a heart attack.
Read Latest Breaking News from Newsmax.com http://www.newsmaxhealth.com/MKTNews/heart-attack-four-things/2012/04/05/id/434957?PROMO_CODE=F9D0-1&Source=Taboola#ixzz2Z7skN9x1
Alert: What Is Your Risk for a Heart Attack? Find Out Now
http://tinyurl.com/odgjw2m
For a limited time, Newsmax Health is making Silent Heart Attacks: A Special Newsmax Heart Health Report available at no charge. Click here to see the 4 things that happen before a heart attack.
Read Latest Breaking News from Newsmax.com http://www.newsmaxhealth.com/MKTNews/heart-attack-four-things/2012/04/05/id/434957?PROMO_CODE=F9D0-1&Source=Taboola#ixzz2Z7skN9x1
Alert: What Is Your Risk for a Heart Attack? Find Out Now
http://tinyurl.com/odgjw2m
Hospices Directory | Best Hospices | Caring.com
What is Dementia? News-Medical.net article
What is Dementia?: Types of dementia
Dementia may be of 100 different types. Some of them include:
Alzheimer’s disease is where small clumps of protein, known as plaques, begin to develop around brain cells. This may lead to severe loss of memory over time.
Another type is vascular dementia where there are problems in the blood supply to the brain. The brain does not receive adequate oxygen.
Dementia with Lewy bodies is another form of dementia where small abnormal structures, known as Lewy bodies, develop inside the brain.
Frontotemporal dementia is said to occur when frontal and temporal lobes (two parts of the brain) start shrinking. This may occur in individuals under 65 years of age. It is much rarer than other types of dementia.
Dementia and other disorders
Sometimes dementia may be accompanied by other mental disorders like mood swings, anxiety and depression and confusion.
Many other illnesses can cause dementia. These may include viral infections such as HIV, Creutzfeldt-Jacob disease, chronic heavy alcohol intake, Huntington's disease, progressive supranuclear palsy and normal pressure hydrocephalus, Multiple sclerosis and Motor neurone disease.
Prognosis or outlook of dementia
There is no cure for dementia. In most patients the symptoms worsen over time.
http://www.youtube.com/watch?feature=player_embedded&v=6q-H1-XwCZA
Dementia may be of 100 different types. Some of them include:
Alzheimer’s disease is where small clumps of protein, known as plaques, begin to develop around brain cells. This may lead to severe loss of memory over time.
Another type is vascular dementia where there are problems in the blood supply to the brain. The brain does not receive adequate oxygen.
Dementia with Lewy bodies is another form of dementia where small abnormal structures, known as Lewy bodies, develop inside the brain.
Frontotemporal dementia is said to occur when frontal and temporal lobes (two parts of the brain) start shrinking. This may occur in individuals under 65 years of age. It is much rarer than other types of dementia.
Dementia and other disorders
Sometimes dementia may be accompanied by other mental disorders like mood swings, anxiety and depression and confusion.
Many other illnesses can cause dementia. These may include viral infections such as HIV, Creutzfeldt-Jacob disease, chronic heavy alcohol intake, Huntington's disease, progressive supranuclear palsy and normal pressure hydrocephalus, Multiple sclerosis and Motor neurone disease.
Prognosis or outlook of dementia
There is no cure for dementia. In most patients the symptoms worsen over time.
http://www.youtube.com/watch?feature=player_embedded&v=6q-H1-XwCZA
What is an Elder Law Attorney? | Area Agency on Aging of Pasco-Pinellas, Inc.Area Agency on Aging of Pasco-Pinellas, Inc.
What is an Elder Law Attorney? | Area Agency on Aging of Pasco-Pinellas, Inc.Area Agency on Aging of Pasco-Pinellas, Inc.: What is an Elder Law Attorney?
shutterstock_108635621
Attorneys who work in the field of elder law bring more to their practice than an expertise in the appropriate area of law. They also have knowledge of the senior population and their unique needs as well as the myths related to competence and aging. They are aware of the physical and mental difficulties that often accompany the aging process. Because of their broad knowledge base they are able to more thoroughly address the legal needs of their clients.
For example, when planning an estate, an elder law attorney would take into consideration the health of the person or couple, the potential for nursing home care and the wishes and concerns of the person or couple if that event were to occur. If need arises, the elder law attorney will associate other legal experts.
shutterstock_108635621
Attorneys who work in the field of elder law bring more to their practice than an expertise in the appropriate area of law. They also have knowledge of the senior population and their unique needs as well as the myths related to competence and aging. They are aware of the physical and mental difficulties that often accompany the aging process. Because of their broad knowledge base they are able to more thoroughly address the legal needs of their clients.
For example, when planning an estate, an elder law attorney would take into consideration the health of the person or couple, the potential for nursing home care and the wishes and concerns of the person or couple if that event were to occur. If need arises, the elder law attorney will associate other legal experts.
Alzheimer's World Bang Your Head Against the Wall | Alzheimer's Reading Room
Alzheimer's World Bang Your Head Against the Wall | Alzheimer's Reading Room: By +Bob DeMarco
+Alzheimer's Reading Room
Alzheimer's World Bang Your Head Against the Wall
Print and tape to the wall. Follow the directions in the circle.
If you are like me, you probably felt like you could put everything you knew about Alzheimer's disease in a thimble the day you received the diagnosis.
And, if you are like me, you probably realized over time that you developed some skills over the course of your life that would help you to deal with a person suffering from Alzheimer's disease.
With this in mind, you will need to learn how to engage in new and different kinds of communication while interacting with someone suffering from Alzheimer's disease in order to remain sane.
You can use some of the communication tools you developed over the course of your life that work; and then, you develop new communication tools that you use only while in Alzheimer's World.
+Alzheimer's Reading Room
Alzheimer's World Bang Your Head Against the Wall
Print and tape to the wall. Follow the directions in the circle.
If you are like me, you probably felt like you could put everything you knew about Alzheimer's disease in a thimble the day you received the diagnosis.
And, if you are like me, you probably realized over time that you developed some skills over the course of your life that would help you to deal with a person suffering from Alzheimer's disease.
With this in mind, you will need to learn how to engage in new and different kinds of communication while interacting with someone suffering from Alzheimer's disease in order to remain sane.
You can use some of the communication tools you developed over the course of your life that work; and then, you develop new communication tools that you use only while in Alzheimer's World.
A Dementia Book Every Family & Professional Needs
A Dementia Book Every Family & Professional Needs | Alzheimer's Speaks Blog: A Dementia Book
Every Family & Professional Needs
This book shows and explains to the reader what is happening and why. It answers the questions of what do we do now? It shows the reader how to interact with someone who has been diagnosed in a loving and respectful fashion. It teaches us not to loose our relationship to illness, but to adapt life to the imperfections we all have. Lori La Bey
Every Family & Professional Needs
This book shows and explains to the reader what is happening and why. It answers the questions of what do we do now? It shows the reader how to interact with someone who has been diagnosed in a loving and respectful fashion. It teaches us not to loose our relationship to illness, but to adapt life to the imperfections we all have. Lori La Bey
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